Provider Demographics
NPI:1477768695
Name:OVERBEY, CHRISTINA ANNA (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANNA
Last Name:OVERBEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17076 MCKEE HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRAZEYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43822-9542
Mailing Address - Country:US
Mailing Address - Phone:740-828-9582
Mailing Address - Fax:
Practice Address - Street 1:13 N 7TH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-4904
Practice Address - Country:US
Practice Address - Phone:740-349-0789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-099345164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse